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SonderMind is a leading mental health care platform revolutionizing therapy services. We are seeking compassionate and highly skilled licensed mental health therapists to join our expanding network. As a SonderMind therapist, you will have the opportunity to meaningfully impact the lives of indi...

Recertification/renewal of membership * Assist all line of business (Medicaid/Medicare/MLTC/CHP/EP) in retaining current qualified members by following a strategic daily work schedule that includes ...

TPN, Enteral Nutrition and Inotropic Agents for Medicare. * Evaluates current and future clinical and service needs for existing and new service areas. * As appropriate &/or required, coordinates ...

If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment.

Medicare/Medicaid Verification & Authorization: Verify patient insurance coverage and eligibility through Medicare/Medicaid portals. Assist with obtaining prior authorizations as needed to ensure ...

ACA, Large Group, Medicare ,Medicaid, SSP), as well as other staff. * Perform other duties as assigned or required. Requirements: * Bachelor's degree in Actuarial Science, Mathematics, other physical ...

This organization is a Medicare Advantage Institutional Special Needs Health Plan (ISNP) for long-term nursing home residents. The plan covers all medically necessary and preventive services covered ...

... Medicare programs.

... Medicare CMS, preferred. RN Director of Patient Services Assists in the overall administration and management of the daily clinical and operational functions of the Hospice Program. To coordinate ...

If appointed, you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider ...

Experience with Medicare/Medicaid experience a plus - not mandatory * Client more interested in candidates experience aligning with the need. * Familiar with AWS Cloud is a plus - not mandatory

Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing ...

Provide information to HCP on how the products are covered under the benefit design (Commercial, Medicare Part D, Medicaid) * Answer questions about coverage, ICD-10 codes of product, including ...

You are required to become an enrolled Medicare provider; obtain and provide a National Provider Identifier (NPI) * Currently possess MAT DEA waiver or complete training within 6 months of hire and ...

Must possess active Medicare/Medicaid Enrollment or be eligible to enroll. * Advanced Cardiac Life Support (ACLS) certification required. * Must possess strong communication skills both oral and ...

Monitors TPA expenses regarding assignment of outside claim investigators, nurse case management, physician reviews, Medicare/SCHIP Set-Asides * Coordinates complex claim resolution with Legal ...

Eligible for Medicare participation. * 6+ months of experience as an Advanced Practice Provider (preferably with geriatric, hospice, or palliative care populations). * Strong clinical skills and ...

Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high ...

Department of Health and Human Services, the Centers for Medicare and Medicaid Services and the rules of the Joint Commission. * Management, development, and execution of the financial IT systems and ...

Must be eligible to participate in the Medicare program as a provider and registered. * Valid state driver's license with a good driving record and proof of automobile insurance required. * Auto ...

... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions/Responsibilities * Wound care experience required * WOCN Certificate preferred * Adhere to established medical ...

Retirement Planning, Money and Credit, Estate Planning, Social Security & Medicare, Distribution Planning, NYCE IRA and Tax Planning. * Using highly effective presentation and personal communication ...

Knowledge of health insurance, Medicaid, Medicare and MLTCP * Experience working with a frail adult or elderly population with the ability to determine appropriate care plans and services for frail ...

... Medicare PACKAGE: Guarantee and Percentage of Collections (35